Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/81934
Type: Artigo de Periódico
Title: Direct oral anticoagulants in oral surgery: a prospective cohort
Authors: Amanda Leal Rocha
Sicilia Rezende de Oliveira
Alessandra Figueiredo de Souza
Denise Vieira Travassos
Lucas Guimarães Abreu
Daniel Dias Ribeiro
Tarcília Aparecida da Silva
Abstract: BACKGROUND: Quantitative assessment of bleeding in dental extractions is rarely reported in the literature. The assessment of bleeding might provide additional evidence to predict and minimize postoperative outcomes. The aim of this study was to evaluate the pattern of bleeding in individuals taking direct oral anticoagulants (DOACs) submitted to dental extractions. METHODS: Intraoperative bleeding was evaluated by using total collected bleeding corrected by absorbance reading (dental bleeding score). To monitoring bleeding episodes from the day of surgery, this cohort was followed up until the seventh postoperative day. RESULTS: Forty-five procedures were performed in three comparative groups, patients under DOACs, individuals taking vitamin K antagonists (VKAs) and without anticoagulant therapy. No bleeding events were observed in procedures carried out in individuals of the DOAC group. Additional hemostatic measures were required in two procedures in the VKA group and one in the non-anticoagulated group. The dental bleeding scores obtained for the DOAC and VKA groups were similar. CONCLUSIONS: Our data suggest that the DOAC therapy did not result in increased bleeding outcomes in this sample.
Subject: Hemorrhage
Anticoagulants
Oral surgical procedures
Tooth extraction
Postoperative hemorrhage
Evaluation study
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE CLÍNICA
FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
FAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
MEDICINA - FACULDADE DE MEDICINA
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.23736/S0026-4970.20.04389-7
URI: http://hdl.handle.net/1843/81934
Issue Date: Dec-2020
metadata.dc.url.externa: https://pubmed.ncbi.nlm.nih.gov/32698567/
metadata.dc.relation.ispartof: Edizioni minerva medica
Appears in Collections:Artigo de Periódico

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